International Journal of Clinical Research

Objective: To analyze the effect of restrictive fluid resuscitation in first aid for traumatic hemorrhagic shock. Methods A total of 100 patients with traumatic hemorrhagic shock in emergency emergency in our hospital were selected for this investigation. The data of patients between March 2021 and March 2022 were reviewed, and 50 patients treated with active fluid resuscitation, restrictive fluid In the 50 cases resuscitated and treated, the data of residual base (BE) value, hemoglobin (HBG), platelet count (PLT), prothrombin time (PT) and partial prothrombin time (APTT) were poor; the start of resuscitation time between the two groups was compared. , operation time, total infusion volume; the proportion of induced acute respiratory distress syndrome (ARDS), systemic inflammatory response syndrome (SIRA), and acute renal failure (ARF) in the two groups was calculated. Results Under the restrictive fluid resuscitation, the patients physiological indicators tended to be more normal. In the restrictive fluid resuscitation group, the initial resuscitation time was 30.4±5.2 minutes, the initial operation time was 35.2±11.6 minutes, and the total infusion volume was 1453±85ml; less than the active fluid resuscitation group. There were 4 cases of ARDS, 3 cases of SIRA and 2 cases of ARF in the restrictive fluid resuscitation group, a total of 9 cases, accounting for 18%; less than the active fluid resuscitation group. (P<0.05). Conclusion In the process of first aid for traumatic hemorrhagic shock, the implementation of restrictive fluid resuscitation can effectively improve the clinical indicators of patients, shorten the resuscitation time and reduce the infusion volume, prevent related complications, and promote the improvement of the emergency effect of shock patients.

Restrictive Fluid Resuscitation; Traumatic Hemorrhagic Shock; First Aid